Healthcare Provider Details

I. General information

NPI: 1467236679
Provider Name (Legal Business Name): CAROLANNE OLON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 OAKLAWN DR STE A
CULPEPER VA
22701-3339
US

IV. Provider business mailing address

1043 OAKLAWN DR STE A
CULPEPER VA
22701-3339
US

V. Phone/Fax

Practice location:
  • Phone: 540-613-1825
  • Fax: 540-870-6133
Mailing address:
  • Phone: 540-613-1825
  • Fax: 540-870-6133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024187711
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: